
How do I donate?
Just print this page, clip the following donation form and mail to the address below.
THE GALAXY YOUTH CENTER
Mail donation to: Galaxy Youth Center, 824 Commercial Street, P.O. Box 29, Grinnell, IA 50112
Name _________________________________________________________________
Address _______________________________________________________________
City, State, Zip Code _____________________________________________________
Telephone: Home _______________________ Business________________________
E-Mail ______________________________ Fax Number _______________________
Pledge Information
I (We) pledge a total of $__________ to be paid _____ now _____ monthly _____ quarterly _____ yearly.
I (We) plan to make this contribution in the form of:
_____ Cash _____ Check _____ Credit card: _____ VISA _____ Mastercard
Card Number _________________ Expiration Date __________